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However, there is evidence that anal sex is practised by large numbers of sexually active adults. Unprotected heterosexual anal sex probably plays an important role in HIV transmission among heterosexuals, although reliable estimates are lacking Baggaley. Viral load is the term used to describe the amount of HIV circulating in the body.

As viral load rises, so does infectiousness. On the other hand, when viral load is so low as to be undetectable, there is no risk at all of HIV transmission.

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People who have HIV without realising it are much more likely to be involved in HIV transmission than people who know they have HIV, as the latter can receive treatment. Firstly, many although not all STIs can cause ulcers, sores or lesions.

They provide a direct physical route of entry for HIV in an uninfected person. There are many types and brands of external condoms available.

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The internal condom, also known as the female condom, is a pouch made of polyurethane or nitrile. The internal condom was designed for vaginal sex but can also be used for anal sex.

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The pouch is open at one end and closed at the other, with a flexible ring at both ends. The ring at the closed end is inserted into the vagina or anus to hold the condom in place.

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The ring at the open end of the pouch remains outside of the vagina or anus. How do condoms help prevent the sexual transmission of HIV? Laboratory studies show that the materials used to make most condoms such as latex, nitrile, polyurethane and polyisoprene do not let HIV pass through them.

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Condoms act as a barrier to HIV infection by preventing the vagina, penis, rectum and mouth from being exposed to bodily fluids such as semen, vaginal fluid and rectal fluid that can contain HIV. Some condoms are made from a thin membrane of sheep intestine. These natural membrane condoms are also known as lambskin condoms. They can be used to help prevent pregnancy, but they should not be used as an HIV prevention strategy because HIV can pass through them.

How effective are condoms at preventing the sexual transmission of HIV? Condoms are a highly effective strategy to help prevent the sexual transmission of HIV when they are used consistently and correctly. They have been well studied in laboratory tests.

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It has been determined that condoms made of latex, polyurethane, nitrile and polyisoprene are impermeable to HIV, meaning that HIV cannot pass through them. Condoms can fail to prevent an exposure to HIV if they break, slip or leak during sex.

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In studies of condom breakage, slippage and leakage, it was not possible to know how many participants were using condoms correctly.

However, research suggests that rates of condom failure decrease with more frequent condom use and more experiences of previous failure. Educate yourself on how to make anal sex more comfortable a lot of lube, with her on top, so she can control penetration. Guys I sleep with seem so annoyed when I ask them to wear a condom. What can I say to get it through his head? One shining star flat out refused to sleep with me because I asked him to wear one.